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1114204542
BANNER HEALTH PHYSICIANS COLORADO LLC
BRUSH, CO
NPI
1114204542
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Entity Type
Organization
Authorized Contact
DENNIS LARAWAY
CFO
602-747-4000
Organization Subpart ?
Yes
Primary Taxonomy
261QM1300X Clinic/Center Multi-Specialty
Enumeration Date
2011-11-14
Last Update Date
2022-01-26
Business Address
BANNER HEALTH PHYSICIANS COLORADO LLC
2400 EDISON ST
BRUSH, CO 80723-1640
Phone number: 970-842-6262
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Mailing Address
BANNER HEALTH PHYSICIANS COLORADO LLC
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone number:
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